Journal articles on the topic 'Anorexia nervosa – Personal narratives'
To see the other types of publications on this topic, follow the link: Anorexia nervosa – Personal narratives.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Anorexia nervosa – Personal narratives.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Eli, Karin. "Striving for liminality: Eating disorders and social suffering." Transcultural Psychiatry 55, no. 4 (May 14, 2018): 475–94. http://dx.doi.org/10.1177/1363461518757799.
Full textAbstract:
In this article, I argue that eating disorders constitute a form of social suffering, in which sufferers embody liminality as a response to, and a reflection of, oppressive sociality, structural violence, and institutional constraints. Based on the illness narratives of people with anorexia nervosa, bulimia nervosa, and their subclinical variants in Israel, the analysis draws the experiential, the social, and the structural into critical focus. These narratives, which delineate lived experiences of self-starving, bingeing, and purging, and the attendant viscerality of hunger, fullness, and emptiness, reveal how participants developed an embodied drawing inward and away, being at once within and without society for extended periods of time, through eating disordered practices. This liminal positioning, I argue, was a mode through which participants cultivated alternative (if temporary) personal spaces, negotiated identities, and anesthetized pain: processes many deemed essential to survival. Embedding the participants’ narratives of eating disordered experiences within familial, societal, and political-economic forces that shaped their individual lives, I examine the participants’ striving for liminality as at once intimately embodied and structurally mapped. The analysis suggests that policy initiatives for eating disorder prevention must address the social suffering that eating disorders manifest: suffering caused by structures and institutions that reinforce social inequality, violence, and injustice.
2
NYHOLM, SVEN, and ELIZABETH O’NEILL. "Deep Brain Stimulation, Continuity over Time, and the True Self." Cambridge Quarterly of Healthcare Ethics 25, no. 4 (September 16, 2016): 647–58. http://dx.doi.org/10.1017/s0963180116000372.
Full textAbstract:
Abstract:One of the topics that often comes up in ethical discussions of deep brain stimulation (DBS) is the question of what impact DBS has, or might have, on the patient’s self. This is often understood as a question of whether DBS poses a threat to personal identity, which is typically understood as having to do with psychological and/or narrative continuity over time. In this article, we argue that the discussion of whether DBS is a threat to continuity over time is too narrow. There are other questions concerning DBS and the self that are overlooked in discussions exclusively focusing on psychological and/or narrative continuity. For example, it is also important to investigate whether DBS might sometimes have a positive (e.g., a rehabilitating) effect on the patient’s self. To widen the discussion of DBS, so as to make it encompass a broader range of considerations that bear on DBS’s impact on the self, we identify six features of the commonly used concept of a person’s “true self.” We apply these six features to the relation between DBS and the self. And we end with a brief discussion of the role DBS might play in treating otherwise treatment-refractory anorexia nervosa. This further highlights the importance of discussing both continuity over time and the notion of the true self.
3
Bryukhin, A., T. Lineva, and E. Okonishnikova. "Vomitophobia in atypical anorexia nervosa." European Psychiatry 64, S1 (April 2021): S700—S701. http://dx.doi.org/10.1192/j.eurpsy.2021.1855.
Full textAbstract:
IntroductionIn atypical anorexia nervosa, one of the causes of restrictive eating behavior is prolonged vomitophobia, which leads to a pronounced degree of alimentary exhaustion.ObjectivesTo study the existence and prevalence of vomitorium atypical anorexia nervosaMethodsPsychopathological, anamnestic, psychologicalResultsIt was found that in atypical anorexia nervosa, vomitophobia is observed in 30% of cases. The initial stage is a psychotraumatic situation unrelated to eating behavior. In the future, the pathological fear of vomiting is fixed, which is due to the presence of personal deviations and anxiety disorders. The initial stage of an eating disorder is a psychotraumatic situation that is not directly related to eating behavior. However, after Psychotrauma, there is anxiety with its subsequent somatization and vegetative dysfunction of the gastrointestinal tract. In the future, the pathological fear of nausea and vomiting is fixed, which is due to the presence of significant personal characteristics and persesting of anxiety disorders. Dysmorphophobic experiences appear as you lose weight and have an inverted character-discontent with thinness, exhaustion.ConclusionsThe presence of massive vomitorium leads to restrictive eating behavior. Therefore, there is a need to differentiate this pathology from typical anorexia nervosa with vomiting and from hypochondriac disorders. Against the background of adequate complex therapy with food rehabilitation, anti-anxiety medication, psychotherapy, atypical anorexia nervosa with vomitophobia undergoes a fairly rapid reverse dynamics with the appearance of a critical attitude to the existing pathological eating behavior. The prognosis in these cases is quite favorable.DisclosureNo significant relationships.
4
Warren, Bill, and P. V. J. Beumont. "The personal construction of death in anorexia nervosa." British Journal of Medical Psychology 73, no. 1 (March 2000): 53–65. http://dx.doi.org/10.1348/000711200160291.
Full text
5
Doba, Karyn, Laurent Pezard, Annick Lesne, Jean Vignau, Véronique Christophe, and Jean-Louis Nandrino. "Dynamics of Emotional Expression in Autobiographic Speech of Patients with Anorexia Nervosa." Psychological Reports 101, no. 1 (August 2007): 237–49. http://dx.doi.org/10.2466/pr0.101.1.237-249.
Full textAbstract:
Emotional disturbances in persons with anorexia nervosa have mainly been documented using static descriptions. This study presents the temporal organisation of emotional expression in autobiographical speech of anorexic patients and thereby provides a first attempt to quantify the dynamics of emotions in patients' speech. The temporal pattern of emotional expression for persons with anorexia nervosa was studied after transforming the autobiographical narratives of 14 patients and 13 matched controls into symbolic sequences of positive, negative, and neutral emotional expressions. These symbolic sequences of emotional states and silences were analyzed using static and dynamic indices. Static indices showed that patients with anorexia nervosa expressed more negative emotions and fewer neutral states than control participants. Dynamic indices showed in patients' speech a cycle of negative emotions and silence. These results showed specific dynamics of emotional expression in persons with anorexia nervosa characterised by the presence of negative emotional perseveration. The possible clinical implications of these findings are discussed.
6
Bossert, S., R. Laessle, and M. Junker. "Anamnestic similarities in bulimic inpatients with and without a history of anorexia nervosa." Psychiatry and Psychobiology 4, no. 2 (1989): 107–10. http://dx.doi.org/10.1017/s0767399x00002947.
Full textAbstract:
SummaryThe significance of a history of anorexia nervosa as regards the diagnosis and treatment outcome for bulimia is unclear. In a retrospective analysis of medical records of 59 inpatients with bulimia (DSM-III), variables related to personal and psychiatric family history did not reveal any differences in bulimics subtyped according to previous anorexia nervosa as defined in the criteria of Russell (1979). These anamnestic data support the results of studies indicating that no specific clinical and outcome variables are correlated with a history of anorexia nervosa in bulimia. The lower body weight and longer duration of bulimia found in bulimic inpatients with a history of anorexia nervosa, however, should be further examined.
7
Venkatesan, Sathyaraj, and Anu Mary Peter. "Feminine famishment: Graphic medicine and anorexia nervosa." Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 24, no. 5 (December 23, 2018): 518–34. http://dx.doi.org/10.1177/1363459318817915.
Full textAbstract:
Socio-cultural rigidities regarding the shape and size of a woman’s body have not only created an urgency to refashion themselves according to a range of set standards but also generated an infiltrating sense of body dissatisfaction and poor self-esteem leading to eating disorders. Interestingly, through an adept utilisation of the formal strengths of the medium of comics, many graphic medical anorexia narratives offer insightful elucidations on the question of how the female body is not merely a biological construction, but a biocultural construction too. In this context, by drawing theoretical postulates from Susan Bordo, David Morris and other theoreticians of varying importance, and by close reading Lesley Fairfield’s Tyranny and Katie Green’s Lighter than My Shadow, this article considers anorexia as the bodily manifestation of a cultural malady by analysing how cultural attitudes regarding body can be potential triggers of eating disorders in girls. Furthermore, this article also investigates why comics is the appropriate medium to provide a nuanced representation of the corporeal complications and socio-cultural intricacies of anorexia.
8
Whitney, Jenna, Joanna Murray, Kay Gavan, Gill Todd, Wendy Whitaker, and Janet Treasure. "Experience of caring for someone with anorexia nervosa: qualitative study." British Journal of Psychiatry 187, no. 5 (November 2005): 444–49. http://dx.doi.org/10.1192/bjp.187.5.444.
Full textAbstract:
BackgroundCaring for someone with anorexia nervosa is distressing.AimsTo gain a detailed understanding of carers' illness models and caregiving experiences.MethodQualitative analysis and computerised text analysis were conducted on narratives written by parents as part of a family intervention at a specialist in-patient unit (20 mothers, 20 fathers)ResultsThemes concerned illness perceptions, impact on the family and carers' emotional, cognitive and behavioural responses towards the illness. Parents perceived anorexia nervosa to be chronic and disabling. Carers blamed themselves as contributing to the illness and perceived themselves as helpless in promoting recovery. Mothers illustrated an intense emotional response, whereas fathers produced a more cognitive and detached account.ConclusionsPart of the distress in living with anorexia nervosa may be explained by unhelpful assumptions and maladaptive responses to the illness. Training parents in skills to manage the illness may improve outcome by reducing interpersonal maintaining factors.
9
Lobo, C. De Andrés, C. Vallecillo Adame, T. Jiménez Aparicio, M. Queipo De Llano De La Viuda, A. Gonzaga Ramírez, G. Guerra Valera, I. Santos Carrasco, J. Gonçalves Cerejeira, C. Capella Meseguer, and E. Rodríguez Vázquez. "Comorbid anorexia nervosa and schizophrenia." European Psychiatry 64, S1 (April 2021): S243—S244. http://dx.doi.org/10.1192/j.eurpsy.2021.653.
Full textAbstract:
IntroductionAlthough schizophrenia and anorexia nervosa are very different disorders, when they occur in the same patient it can be difficult to distinguish whether the alterations in body image are due to psychotic symptoms or correspond to a comorbid eating disorder. It is also relevant to know how they can interact with each other.ObjectivesPresentation of a clinical case of anorexia nervosa in the context of a patient with a previous diagnosis of paranoid schizophrenia.MethodsBibliographic review of the relationship between schizophrenia and alterations in the perception of body image by searching for articles in Pubmed.ResultsWe present a 48-year-old woman who resides with her mother and a sister. Diagnosed with paranoid schizophrenia and eating disorder. She had previously been admitted to hospital twice. Since 2004, she has been followed up in mental health consultations. The patient reports constant weight changes. A year ago she began to feel overweight and began to restrict her intake and to exercise, having lost 20 kg. She reports psychotic symptoms in the past, that she now denies. Various scales show moderate impact of weight on personal perception of psychosocial adjustment, an impulse to thinness and a significant distortion of body image, perceiving herself as heavier than she is and wishing she was lighter.ConclusionsIn schizophrenia, confusion in bodily experiences and states is not uncommon. The possible interactions between the symptoms of schizophrenia and anorexia nervosa complicate the adequate care of these patients. Further research on comorbidity of these two disorders is necessary.
10
Morales Allende, María Fernanda, and Griselda Galván Sánchez. "Características clínicas de anorexia nervosa extrema. Reporte de caso." Revista de la Facultad de Medicina 64, no. 2 (May 12, 2021): 26–30. http://dx.doi.org/10.22201/fm.24484865e.2021.64.2.04.
Full textAbstract:
Anorexia nervosa is currently considered a disease of great impact due to its association with malnutrition. It occurs mainly in women, adolescents and young adults. The severity is defined by BMI. It is a multifactorial disease, with great influence of the cultural environment, biological, family and personal aspects. No system in the body is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa becomes more severe and chronic. We review the medical complications that are associated with extreme anorexia nervosa. It is also considered as a disease with a high morbidity and mortality rate, due to an increase of up to 6 times the risk of death and the multiple medical complications associated with the disease. Hence, it is essential to increase health resources, reinforce information in first-contact doctors to identify this condition, and increase factors of good prognosis such as early patient care. Keywords: Anorexia nervosa; medical complications; eating disorders
11
Balakireva, E., N. Zvereva, and S. Voronova. "Personal and clinical traits in adolescents, diagnosed with «anorexia nervosa»." European Psychiatry 64, S1 (April 2021): S356. http://dx.doi.org/10.1192/j.eurpsy.2021.953.
Full textAbstract:
IntroductionEating disorders are among the most common mental health problems. The prevalence of diseases in this circle is 1-2% of the population; in adolescents - 1%. There is a significant “rejuvenation” of eating disorders with the appearance anorexia nervosa cases in preschool and primary school age. The prevalence of such disorders among adolescents is a significant reason for detailed and comprehensive study of the issue. Many factors lead to development of eating disorders: genetic predisposition, family background, socio-cultural factors, life experience. We suggested that due to many mutually overlapping factors in the syndrome of anorexia nervosa, there may also be distortions of personality characteristics, sometimes reaching the level of personality disorders.Objectivesassessment of personality feachers 34 patients with leading diagnosis of F-50.0 (ICD-10) were examined in FSBSI MHRC (inpatient treatment/outpatient observation). All adolescents received drug therapy.MethodsThe study was carried out using modern pathopsychological methods with the inclusion of research questionnaires aimed at identifying personal pathology (LoPF 12-18, AIDA).ResultsDuring the research, the following personality traits were revealed: perfectionism, the desire to correspond to a certain ideal image of oneself, instability of Ego, unstable identity violations; reduced ability to form a picture of the future and themselves in the future; also showed a tendency to abuse psychoactive substances.ConclusionsThus, the general for all patients with diagnosed disorder was persistent refusal to eat (up to dystrophy), distortion of Ego, characteristic of personality disorders were also observed. Further studies are required to obtain a more detailed picture and clarify the prognostic outcome.
12
Nesbitt, Sophie. "Size zero and beyond: a personal study of anorexia nervosa." Advances in Eating Disorders 2, no. 2 (January 3, 2014): 210–11. http://dx.doi.org/10.1080/21662630.2013.864502.
Full text
13
Vorobyeva, Elena, and Anastasia Nimchenko. "Cognitive and Personality Traits of Social Media Users With Eating Disorders." International Journal of Cognitive Research in Science, Engineering and Education (IJCRSEE) 10, no. 3 (December 20, 2022): 139–47. http://dx.doi.org/10.23947/2334-8496-2022-10-3-139-147.
Full textAbstract:
This work aims to study the personality and cognitive characteristics of social media users with eating disorders. The work involved 209 people (84 women with anorexia nervosa, 82 women with bulimia nervosa, a control group of 43 healthy women). The Eating Behavior Rating Scale (EBRS), Cognitive-behavioral Patterns in Eating Disorders Questionnaire, 16-factor Personality Questionnaire, and the Dysfunctional Relations Scale (DRS) were used to assess cognitive and personal characteristics of people with eating disorders. It was found in the work that emotional instability, anxiety, and suspicion are characteristic personality traits for persons with eating disorders. It has been found that individuals with anorexia nervosa and bulimia nervosa have different cognitive characteristics. The cognitive characteristics of individuals with eating disorders are correlated with their personality traits.
14
Shohet, Merav. "Beyond the clinic? Eluding a medical diagnosis of anorexia through narrative." Transcultural Psychiatry 55, no. 4 (August 31, 2017): 495–515. http://dx.doi.org/10.1177/1363461517722467.
Full textAbstract:
The persistence and recurrence of anorexia nervosa poses a clinical challenge, and provides support for critiques of oppressive and injurious facets of society inscribed on women’s bodies. This essay illustrates how a phenomenological, linguistic anthropological approach fruitfully traverses clinical and cultural perspectives by directing attention beyond the embodied experience of patients diagnosed with anorexia nervosa to those who are not clinically diagnosed. Extending a model of illness and recovery as entailing sufferers’ emplotting of past, present, and imagined future selves, I argue that women’s accounts of their experiences do not simply reflect lived reality, but actually propel health-relevant states of being by enlivening and creating these realities in the process of their telling. In indexical interaction with public and clinical discourses, narratives’ grammar, lexicon, and plot structures modify subjects’ experiences and interpretations of the events and feelings recounted. This article builds on the insight that linear narratives of “full recovery” that adopt a clinical and feminist voice can help tellers stay recovered, whereas for those “struggling to recover,” a genre of contingent, uncertain, sideshadowing narratives alternatively renders recovery an elusive and ambivalently desired object. This essay then identifies a third narrative genre, eluding a diagnosis, which combines elements of the first two genres to paradoxically keep its teller simultaneously sheltered from, and invisible to the well-meaning clutches of medical care, leaving her suffering, yet free, to starve. This focus on narrative genres illustrates the utility of linguistic analyses for discerning and interpreting distress in subclinical populations.
15
Resmark, Gaby, Stephan Herpertz, Beate Herpertz-Dahlmann, and Almut Zeeck. "Treatment of Anorexia Nervosa—New Evidence-Based Guidelines." Journal of Clinical Medicine 8, no. 2 (January 29, 2019): 153. http://dx.doi.org/10.3390/jcm8020153.
Full textAbstract:
Anorexia nervosa is the most severe eating disorder; it has a protracted course of illness and the highest mortality rate among all psychiatric illnesses. It is characterised by a restriction of energy intake followed by substantial weight loss, which can culminate in cachexia and related medical consequences. Anorexia nervosa is associated with high personal and economic costs for sufferers, their relatives and society. Evidence-based practice guidelines aim to support all groups involved in the care of patients with anorexia nervosa by providing them with scientifically sound recommendations regarding diagnosis and treatment. The German S3-guideline for eating disorders has been recently revised. In this paper, the new guideline is presented and changes, in comparison with the original guideline published in 2011, are discussed. Further, the German guideline is compared to current international evidence-based guidelines for eating disorders. Many of the treatment recommendations made in the revised German guideline are consistent with existing international treatment guidelines. Although the available evidence has significantly improved in quality and amount since the original German guideline publication in 2011, further research investigating eating disorders in general, and specifically anorexia nervosa, is still needed.
16
Medway, Meredith, Paul Rhodes, Lisa Dawson, Jane Miskovic-Wheatley, Andrew Wallis, and Sloane Madden. "Adolescent development in family-based treatment for anorexia nervosa: Patients’ and parents’ narratives." Clinical Child Psychology and Psychiatry 24, no. 1 (August 6, 2018): 129–43. http://dx.doi.org/10.1177/1359104518792293.
Full textAbstract:
Maudsley Family-Based Treatment (FBT) is currently the best supported treatment for adolescents with anorexia nervosa (AN); however, little is known about whether it achieves its stated aim in the final phases of promoting the patient’s return to an expected developmental trajectory. This study aimed to explore the perspectives of young people and their parents regarding the developmental impact of AN, and the role of FBT in addressing developmental challenges. Young people ( N = 12) who ceased FBT a minimum 1 year prior, and their parents ( N = 12), completed face-to-face semi-structured interviews, and data were analysed using a narrative inquiry method. All the participants described AN as highly disruptive to adolescent development, with phase one of FBT accentuating this experience. In phases two and three, FBT helped facilitate adolescent development in three key ways: Supporting return to adolescent pursuits, facilitating autonomy and providing freedom to develop post-FBT. This study offers preliminary insights into the variety of developmental challenges and needs experienced by families, as well as approaches clinicians can take to supporting development in phases two and three of FBT.
17
Heilbrun, Alfred B., and Alyson L. Worobow. "Attention and Disordered Eating Behavior: II. Disattention to Turbulent Inner Sensations as a Risk Factor in the Development of Anorexia Nervosa." Psychological Reports 66, no. 2 (April 1990): 467–78. http://dx.doi.org/10.2466/pr0.1990.66.2.467.
Full textAbstract:
The Slade model for development of anorexia nervosa proposes that the female may seek success and control in her life by pursuing a thin body through dieting when faced with serious personal problems. Extending upon this model, the present program of research has sought to identify those characteristics of women generally at-risk for anorexia nervosa that would make dieting behavior especially successful, permitting the progression from food restraint into food aversion. The present studies considered whether heightened and stress-related inner stimulation could interfere with the at-risk woman's sensitivity to hunger sensations, thereby decreasing her motivation to eat. A series of analyses conducted within two studies indicated: (1) a relationship between elevated daily stress, concern over being overwhelmed by inner feelings, and a loss of discrimination regarding sources of inner feelings, (2) a tendency to narrow attentional focus when overloaded with excessive internal stimulation, and (3) diminished sensitivity to hunger sensations for women generally at-risk for anorexia nervosa given a narrowed attentional focus.
18
Bailly, D., N. Regnaut, and PJ Parquet. "The dexamethasone suppression test in bulimic outpatients without major depression." European Psychiatry 7, no. 2 (1992): 85–89. http://dx.doi.org/10.1017/s0924933800003333.
Full textAbstract:
SummaryRecent studies have examined the effectiveness of the dexamethasone suppression test (DST) in the evaluation of bulimia. In a series of 18 female bulimic outpatients without major depression, 9 (50%) failed to suppress on the DST. No significant difference was found between suppressors and nonsuppressors in personal and family histories of affective disorder, levels of anxious and depressive symptoms, psychoactive substance abuse, and severity of abnormal eating-related behaviours. In contrast, non-suppression was significantly associated with low weight. There is a trend to differentiate non-suppressors from suppressors in the current diagnosis of anorexia nervosa and in past history of anorexia nervosa. Seven patients received fluvoxamine for 8 weeks. Five patients were suppressors and showed a significant decrease in the frequency of their binges while the 2 non-suppressors did not improve. These preliminary results suggest that DST non-suppression might be typical of bulimic patients with anorexia nervosa and that pretreatment DST results might predict the response of bulimic behaviour to treatment with fluvoxamine.
19
Leonidas, Carolina, and Manoel Antônio Santos. "Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa." Universitas Psychologica 16, no. 4 (December 31, 2017): 1. http://dx.doi.org/10.11144/javeriana.upsy16-4.emae.
Full text
20
Behar A., Rosa. "Ineffectiveness in eating disorders / Sentimientos de ineficacia personal en los trastornos de la conducta alimentaria." Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders 2, no. 2 (December 15, 2011): 113–24. http://dx.doi.org/10.22201/fesi.20071523e.2011.2.181.
Full textAbstract:
Abstract. The sense of personal ineffectiveness is one of the core clinical characteristics in eating disorders (ED). Objective: To describe the evidence on the sense of personal ineffectiveness in patients suffering from anorexia nervosa and/or bulimia nervosa. Method: Medline/Pubmed databases were used to look for evidence on ineffectiveness in ED. Results: The "paralyzing sense of personal ineffectiveness" described by Bruch (1973) in anorexic patients, related to a deficit in the sense of self, due to early distortions in mother-child attachment, is still a valid concept in everyday clinical practice. Although ineffectiveness is also a cha- racteristic of a depressive disorder, in ED it is related mainly to drive for thinness, perfectionism, shyness, lack of assertiveness and interoceptive awareness (ale- xythimia), laxative and substance abuse, diet, physical exercise, obsessive-compulsive symptomatology, low self-esteem, body dissatisfaction, stress and severity of ED. Conclusions: There is strong evidence supporting the sense of ineffectiveness, both in non clinical populations at risk to develop ED and also in anorexic and/or bulimic patients. It may be considered as a predisposing, perpetuating and prognosis factor of an ED. Nevertheless, ineffectiveness as a feature of depressive disorder questions its exclusiveness to ED. Key words: Eating disorders, Anorexia nervosa, Bulimia nervosa, Depressive disorder, Ineffectiveness. Resumen . El sentimiento de ineficacia personal es una de las características clínicas nucleares en los trastornos de la conducta alimentaria (TCA). Objetivo: Describir la evidencia acerca del sentimiento de ineficacia personal en pacientes portadoras de anorexia nerviosa y/o bulimia nerviosa. Método: Se realizó una búsqueda bibliográfica mediante las bases de datos Medline/PubMed de evidencia sobre la ineficacia en los TCA. Resultados: El "paralizante sentimiento de inefi- cacia personal", descrito por Bruch (1973) en pacientes anorécticas, relacionado con un déficit en el sentido del self debido a distorsiones tempranas en el vínculo madre-hija, aún es un concepto válido en la práctica clínica cotidiana. Aunque la ineficacia es también característica del trastorno depresivo, en los TCA se relaciona principalmente, con motivación por la delgadez, perfeccionismo, timidez, falta de asertividad y consciencia interoceptiva (alexitimia), abuso de laxantes y sustan- cias, dieta, ejercicio físico, sintomatología obsesivo-compulsiva, baja autoestima, insatisfacción corporal, estrés y con la severidad del TCA. Conclusiones: Existe una fuerte evidencia que apoya la existencia de un sentimiento de ineficacia personal, tanto en poblaciones no clínicas en riesgo para desarrollar TCA, como también en pacientes anorécticas y/o bulímicas. Puede considerarse un factor predisponente, perpetuante y pronóstico de un TCA. Sin embargo, su presencia en trastornos depresivos cuestiona su especificidad en los TCA. Palabras clave: Trastornos de la conducta alimentaria, Anorexia nerviosa, Bulimia nerviosa, Trastorno depresivo, Ineficacia.
21
Tan, Jacinta O. A., Tony Hope, and Anne Stewart. "Anorexia nervosa and personal identity: The accounts of patients and their parents." International Journal of Law and Psychiatry 26, no. 5 (September 2003): 533–48. http://dx.doi.org/10.1016/s0160-2527(03)00085-2.
Full text
22
Stockford, Clare, Biza Stenfert Kroese, Adam Beesley, and Newman Leung. "Severe and Enduring Anorexia Nervosa: The personal meaning of symptoms and treatment." Women's Studies International Forum 68 (May 2018): 129–38. http://dx.doi.org/10.1016/j.wsif.2018.03.003.
Full text
23
Lavis, Anna. "Not Eating or Tasting Other Ways to Live: A Qualitative Analysis of ‘Living Through’ and Desiring to Maintain Anorexia." Transcultural Psychiatry 55, no. 4 (July 30, 2018): 454–74. http://dx.doi.org/10.1177/1363461518785796.
Full textAbstract:
Whilst recent discussions of anorexia nervosa have recognised key aspects of the illness experience, such as control and emotion regulation, there remains a cross-disciplinary emphasis on body image concerns as central. In dialogue with clinical, psychological and social analyses, this paper draws on ethnography and qualitative interviews with individuals diagnosed with anorexia to offer an alternative perspective. Focusing on individuals’ engagements with food and (not) eating suggests that material moments of starving, calorie counting, and thinking about food provide a critical lens onto what anorexia does for, as well as to, individuals living with the illness. Participants’ narratives suggest that anorexia can make it possible to retreat into a numb and protective ‘bubble.’ The illness may thereby offer a way to be in the world that both responds to and ameliorates distress; some individuals describe the ambivalent ‘safety’ of living through their anorexia. As such, food practices are a modality of holding onto anorexia’s valued safety. By outlining this relationship between practices of (not) eating and a desire amongst some individuals to maintain the illness, this paper contributes to discussions of treatment resistance. Intersecting with wider reflections on trauma, recovery and harm minimisation in mental health, the discussion considers how this desire might be approached ethically in both research and therapeutic practice. Individuals’ narratives suggest the need to reposition attention away from anorexia itself to the distress and traumatic life events that may underlie both the illness and the desire to maintain it.
24
Robarts, Jacqueline Z., and Ann Sloboda. "Perspectives on Music Therapy with People Suffering from Anorexia Nervosa." Journal of British Music Therapy 8, no. 1 (June 1994): 7–14. http://dx.doi.org/10.1177/135945759400800104.
Full textAbstract:
This paper * explores the process of music therapy in the treatment of people suffering from anorexia nervosa, with reference to individual clinical work undertaken at an acute psychiatric unit specialising in eating disorders, and at an in-patient child and adolescent psychiatry unit. Case material illustrates ways in which music therapy supports the individual while addressing the often deeply-rooted problems commonly associated with eating disorders. These problems include issues of personal identity, negative self-image, distorted body-image, intellectualisation, difficulty in relationships, and issues of autonomy and control. Dynamic forms of spontaneous improvisational music-making and musical therapeutic intervention are discussed.
25
KARWAUTZ, A., S. RABE-HESKETH, X. HU, J. ZHAO, P. SHAM, D. A. COLLIER, and J. L. TREASURE. "Individual-specific risk factors for anorexia nervosa: a pilot study using a discordant sister-pair design." Psychological Medicine 31, no. 2 (February 2001): 317–29. http://dx.doi.org/10.1017/s0033291701003129.
Full textAbstract:
Background. The aim of this pilot study was to examine which unique factors (genetic and environmental) increase the risk for developing anorexia nervosa by using a case–control design of discordant sister pairs.Methods. Forty-five sister-pairs, one of whom had anorexia nervosa and the other did not, were recruited. Both sisters completed the Oxford Risk Factor Interview for Eating Disorders and measures for eating disorder traits, and sib-pair differences. Blood or cheek cell samples were taken for genetic analysis. Statistical power of the genetic analysis of discordant same-sex siblings was calculated using a specially written program, DISCORD.Results. The sisters with anorexia nervosa differed from their healthy sisters in terms of personal vulnerability traits and exposure to high parental expectations and sexual abuse. Factors within the dieting risk domain did not differ. However, there was evidence of poor feeding in childhood. No difference in the distribution of genotypes or alleles of the DRD4, COMT, the 5HT2A and 5HT2C receptor genes was detected. These results are preliminary because our calculations indicate that there is insufficient power to detect the expected effect on risk with this sample size.Conclusions. A combination of intrinsic and extrinsic factors increases the risk of developing anorexia nervosa. It would, therefore, be informative to undertake a larger study to examine in more detail the unique genetic and environmental factors that are associated with various forms of eating disorders.
26
Garfinkel, Paul E., David M. Garner, and David S. Goldbloom. "Eating Disorders: Implications for the 1990's*." Canadian Journal of Psychiatry 32, no. 7 (October 1987): 624–31. http://dx.doi.org/10.1177/070674378703200722.
Full textAbstract:
In the past decade much has been learned about the clinical features, diagnosis and understanding of people with anorexia nervosa and bulimia nervosa. In order to provide the next level of improvement in our care for these patients, our understanding of certain problems must be addressed by empirical research. Areas which require further study include the definition of high risk groups, the refinement of diagnoses, understanding factors which result in chronicity, determining the complications of chronicity and comparative evaluations of different treatments. These five areas are outlined in this article. Populations at risk for anorexia nervosa and bulimia nervosa may be those who must be thin and achieve according to career choice, those with a particular family and personal psychiatric history; obesity and chronic medical illnesses may be further risks. Improved diagnostic understanding has occurred by the differentiation of bulimic from restricting subtypes of anorexia nervosa. Further work must determine the relationship between the bulimic subtype of anorexia nervosa and bulimia in normal weight women and to further clarify the relationship between eating disorders and affective disorders. A number of factors may result in a chronic illness. These have been described on a variety of levels. The consequences of starvation in altering an individual's thinking, feeling and behaviour do play a role. It is not clear what factors at a neurochemical level contribute to this. Elevated endogenous opiates decreased noradrenergic function and decreased serotonin may be important. Information about the chronic complications is required for clinicians to understand the broad range of difficulties that may develop over time so that clinicians may use this information in planning treatment strategies. Two examples, those of osteoporosis and the pregnant woman with an eating disorder, highlight this problem. Finally, treatment is briefly reviewed in terms of options available and the idea of developing a stepped-care approach to treatment.
27
Conti, Janet E. "“I Don't Think Anorexia Is the Way Out”: Reconstruction of Meaning in Women's Narratives of Anorexia Nervosa over 10 Years." Journal of Constructivist Psychology 29, no. 2 (August 31, 2015): 165–83. http://dx.doi.org/10.1080/10720537.2015.1072485.
Full text
28
Viseu, M., A. Oliveira, M. Barbosa Pinto, and R. Sousa. "A Case Report of Anorexia Nervosa - the “perfect“ woman." European Psychiatry 65, S1 (June 2022): S583—S584. http://dx.doi.org/10.1192/j.eurpsy.2022.1495.
Full textAbstract:
Introduction Anorexia nervosa (AN) is an eating behavior disorder characterized by intense fear of gaining weight or persistent behavior that interferes with weight gain, with caloric intake restriction and secondary loss of body weight. It can affect up to 4% of women during their lifetime and is responsible for one of the highest mortality rates from psychiatric disorders. Objectives Review of the literature and exposure of a case report of AN in a woman with high level of stress at work. Methods Case report and nonsystematic review using databases such as PubMed and UpToDate. Results Caucasian woman, 31-year-old, PhD in biology, who works in a multinational company. No personal or family history of psychiatric disorder. She was observed in the psychiatry emergency department, due to low weight, caloric restriction and intense physical exercise, maladaptive personality traits related to perfectionism and control were found. She began follow-up with a multidisciplinary team, but there was a need for hospitalization due to clinical deterioration with BMI of 11. After 6 months, she continued to follow up at the consultations and, despite refusing psychotropic drugs, she maintains psychotherapy and presents clinical improvement (BMI - 17). Conclusions Eating behavior disorders are chronic and difficult to treat diseases that are more frequent among people subject to high levels of stress. This case represents a restrictive AN in a woman with multiple risk factors: athlete, perfectionist, with stressful work and life events and restricted interpersonal and affective relationships. Disclosure No significant relationships.
29
Cichecka-Wilk, Małgorzata. "Anorexia Nervosa as a Manifestation of Self-Destructive Tendencies in the Light of Selected Psychodynamic Concepts – Towards the Promotion of Knowledge among Parents and Caregivers." Yearbook of Pedagogy 43, no. 1 (December 1, 2020): 227–40. http://dx.doi.org/10.2478/rp-2020-0014.
Full textAbstract:
Summary Anorexia nervosa, which is one of the forms of eating disorders, can be considered as a manifestation of a long and very complex process of self-destruction. Although its genesis is usually associated with puberty problems, it is rarely a rapid phenomenon. It should be treated rather as a kind of epilogue of one’s personal history. Malnutrition and weight control appearing in its context are in fact a manifestation of an attempt to cope with the hardships experienced by individual. Therefore, the anorexia nervosa is not just a problem of weight or eating habits, but it’s a way of manifesting the internal problem of the individual. Its form, defined by the otherwise valid canons of beauty or success, and consolidated by behaviours learned during the use of slimming diets, is revealed, however, in connection with specific personality traits. That is why the importance of people with this disorder, to a large extent, of tendencies to self-destructive behaviour, leading more or less consciously to self-destruction and in extreme cases to death, is emphasized. The article deals with the problem of anorexia nervosa as a manifestation of self-destructive tendencies and the issue of factors and mechanisms conditioning the occurrence of self-destructive behaviour from the perspective of selected psychodynamic concepts, indicating the importance of the issue for the care and educational processes.
30
Botha, Derek. "ANALYSING ANOREXIA NERVOSA: DIGITAL LOGIC PROVIDES ALTERNATIVE MEANINGS OF ITS NATURE, LEADING TO ALTERNATIVE FORMS OF PSYCHOTHERAPY." Psychological Thought 13, no. 2 (October 30, 2020): 286–307. http://dx.doi.org/10.37708/psyct.v13i2.471.
Full textAbstract:
The purpose of this article is to apply innovative analogue and digital thinking processes that, first, negate DSM (III to 5th Eds.) understandings of anorexia, and then formulate a bases which encapsulates alternative understandings of the universal patterns of behavior, understandings that honour and embrace the patterns of behavior expressed by each person. Published research of lived experiences of persons who exhibit patterns of behavior and attitudes towards food, weight, body shape and size, that are deemed to be diagnostic criteria of anorexia nervosa, provides evidence that those patterns of behavior serve as coping mechanisms against the suffocating forces of unwanted, specific, and personal discourses in their lives. As a consequence of this application, the article argues that these universal patterns of behavior and attitudes to food, weight and body image, expressed uniquely by each person, are expressions, images and ideas of a specific form of an archetype, with each person having their personal and unique reasons for their behavioral expressions. This analyses indicates that these persons do not “suffer from” a mental eating disorder called anorexia, and that psychotherapeutic approaches for each person should focus on the problems in their lives, problems that cause them to express the images and ideas of a universal archetype.
31
Woerner, Jacqueline, Ross King, and Beth Costa. "Development of readiness to change and self-efficacy in anorexia nervosa clients: personal perspectives." Advances in Eating Disorders 4, no. 1 (January 2, 2016): 99–111. http://dx.doi.org/10.1080/21662630.2015.1118641.
Full text
32
Piot, Marie-Aude, Juliette Gueguen, Daphné Michelet, Massimiliano Orri, Marie Köenig, Maurice Corcos, Jean-Sébastien Cadwallader, and Nathalie Godart. "Personal recovery of young adults with severe anorexia nervosa during adolescence: a case series." Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 25, no. 4 (May 16, 2019): 867–78. http://dx.doi.org/10.1007/s40519-019-00696-7.
Full text
33
Figueroa, Gustavo. ""The case of Ellen West": Medical ethics on the threshold of anorexia nervosa / "El caso Ellen West": La ética médica en los albores de la anorexia nerviosa." Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders 2, no. 2 (December 15, 2011): 104–12. http://dx.doi.org/10.22201/fesi.20071523e.2011.2.180.
Full textAbstract:
Abstract. The case of Ellen West was published before anorexia nervosa was conceived as a clinical entity and previous to the birth of bioethics. This study seeks to understand the moral issues that Binswanger followed according to traditional medical ethics. Three dimensions are outstanding: formation of a firm pact based on trust, prudent judgments and virtues as personal excellences, which shaped the psychotherapeutic dialogue. In addition, he respected the professional secrecy, communication of alternative therapies and a dialogue based on saying and uncovering the truth. The final suicide was foreseen but he respected it as a choice of a project of existence although failed. Key words: anorexia nervosa, Ellen West, bioethics, suicide, existence. Resumen. El caso Ellen West se publicó antes que se describiera la anorexia nerviosa como entidad nosológica y previo al nacimiento de la bioética. El presente estudio busca comprender las conductas morales que Binswanger adoptó de acuerdo a la ética médica tradicional. Tres dimensiones resaltan: formación de un pacto firme basado en la confianza, juicios prudentes y las virtudes entendidas como excelencias personales determinantes del diálogo psicoterapéutico. Además, él respetó el secreto profesional, la comunicación de terapias alternativas y construyó un diálogo fundamentado en decir y descubrir la verdad. El suicidio final fue previsto por él, y lo acató como la elección de un proyecto de existencia aunque fracasado. Palabras clave: anorexia nerviosa, Ellen West, bioética, suicidio, existencia.
34
Kinnaird, Emma, Yasemin Dandil, Zhuo Li, Katherine Smith, Caroline Pimblett, Rafiu Agbalaya, Catherine Stewart, and Kate Tchanturia. "Pragmatic Sensory Screening in Anorexia Nervosa and Associations with Autistic Traits." Journal of Clinical Medicine 9, no. 4 (April 20, 2020): 1182. http://dx.doi.org/10.3390/jcm9041182.
Full textAbstract:
Background: Research suggests that people with anorexia nervosa (AN) experience subjective hypersensitivity to external sensations that may require consideration in treatment. These difficulties may be particularly pronounced in people with AN and high autistic traits. The purpose of this pilot study was to explore the use of a brief screening tool to assess sensory sensitivity in individuals receiving treatment for AN, and to assess if self-rated sensitivity in AN is related to autistic traits. Methods: 47 individuals receiving treatment for AN completed a brief sensory screening tool and self-rated their autistic traits. Individuals were also asked to give qualitative feedback on the screening tool. Results: People with AN and high autistic traits rated themselves as more hypersensitive compared to people with AN and low autistic traits. Feedback surrounding the use of the screener was positive. Conclusions: The results of this study suggest that the use of this screener may be beneficial in eating disorder settings to help adjust and calibrate treatment to personal needs, although further research and psychometric evaluation around the clinical use of the screener is required. The finding that people with AN and high autistic traits may experience elevated hypersensitivity also warrants further exploration in future research.
35
Ganin, I. P., E. A. Kosichenko, A. V. Sokolov, O. M. Ioannisyanc, I. M. Arefev, A. Ya Basova, and A. Ya Kaplan. "Adapting the p300 brain-computer interface technology to assess condition of anorexia nervosa patients." TARGETED ONCOTHERAPY, no. 2 (April 10, 2019): 32–38. http://dx.doi.org/10.24075/brsmu.2019.022.
Full textAbstract:
Brain-computer interface based on the P300 wave (P300 BCI) allows activating a given command according to the electroencephalogram (EEG) response to a predetermined relevant stimulus. The same algorithm enables detecting a subjectively important item (i.e., one triggering emotional response) in an environment even without actively drawing attention to it. Such systems allow assessing the personal significance of certain information, which can be used in the diagnostics of disorders of emotional perception or value system, e.g., eating disorders. This study aimed to investigate the EEG responses of anorexia nervosa patients (diagnosis F50.0, n = 12, age 11–16 years) to the stimuli with different perceived emotional significance, as well as to validate application of P300 BCI to detect the focus of attention to subjectively important stimuli. The inclusion criteria were: diagnosed anorexia nervosa (diagnosis F50.0); active rehabilitation. We registered the EEG while presenting images with different content to the patients. The event-related potentials (ERP) were detected and analyzed with the help of MATLAB 7.1 (MathWorks; USA). Statistica 7.0 software (StatSoft; USA) was used for statistical analysis of the data. We have discovered that in passive viewing paradigm, images of body parts of emaciated people among other images caused ERP with higher amplitude than images of food. Moreover, the accuracy of detection was higher for images of body parts: 89% against 59%, respectively. Thus, we have proven the validity of applying P300 BCI to detect covert emotional foci of attention and added to the existing knowledge about the mechanisms of development of anorexia nervosa.
36
Horndasch, Stefanie, Sophie O'Keefe, Anneka Lamond, Katie Brown, and Ciara McCabe. "Increased anticipatory but decreased consummatory brain responses to food in sisters of anorexia nervosa patients." BJPsych Open 2, no. 4 (July 2016): 255–61. http://dx.doi.org/10.1192/bjpo.bp.115.002550.
Full textAbstract:
BackgroundWe have previously shown increased anticipatory and consummatory neural responses to rewarding and aversive food stimuli in women recovered from anorexia nervosa (AN).AimsTo determine whether these differences are trait markers for AN, we examined the neural response in those with a familial history but no personal history of AN.MethodThirty-six volunteers were recruited: 15 who had a sister with anorexia nervosa (family history) and 21 control participants. Using fMRI we examined the neural response during an anticipatory phase (food cues, rewarding and aversive), an effort phase and a consummatory phase (rewarding and aversive tastes).ResultsFamily history (FH) volunteers showed increased activity in the caudate during the anticipation of both reward and aversive food and in the thalamus and amygdala during anticipation of aversive only. FH had decreased activity in the dorsal anterior cingulate cortex, the pallidum and the superior frontal gyrus during taste consumption.ConclusionsIncreased neural anticipatory but decreased consummatory responses to food might be a biomarker for AN. Interventions that could normalise these differences may help to prevent disorder onset.
37
Pittock, A. "P-558 - Does anorexia nervosa result from a conflict between different forms of personal identity?" European Psychiatry 27 (January 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)74725-9.
Full text
38
Cameron, Prue, Karen Willis, and Delia Richter. "Working with People with Eating Disorders: How Do Professional Attitudes Affect Approaches to Early Intervention?" Australian Journal of Primary Health 3, no. 3 (1997): 23. http://dx.doi.org/10.1071/py97018.
Full textAbstract:
Preliminary research conducted in 1995 in Tasmania examined the perceptions, knowledge and beliefs held by health workers about eating disorders, specifically anorexia and bulimia. The study used a combination of focus groups and individual interviews with school health nurses, adolescent health workers, dietitians and students of both nursing and dietetics. The study found that professional and lay knowledges around this issue are not categorically distinct. Rather, health workers bring to their professional roles, social and personal knowledges that construct and shape their interpretations of anorexia nervosa and bulimia. Initial findings indicated that these health workers commonly held contradictory, often negative, ideas with strongly moralistic judgements about people with eating disorders. It is argued that such views might constrain their ability to respond effectively in a preventive context.
39
Fonseca, A., A. Poças, J. Melim, and R. Araújo. "A Clinical Case Of a Patient With Anorexia Nervosa And Bizarre Behavior." European Psychiatry 33, S1 (March 2016): S428. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1550.
Full textAbstract:
Eating disorders (EDs) are mental illnesses, defined by abnormal eating habits. EDs are chronic, severe and difficult to treat, and cause psychological, social and physical consequences. It occurs predominantly in adolescents and young adults women (around 90%), causing severely disability, major biopsychosocial losses, and high morbidity and mortality. EDs are considered by WHO as a public health problem, affecting different ages, genres, times, regions and contexts.ObjectiveCase report of a patient with Anorexia Nervosa and bizarre behavior.MethodsClinical observation in hospital.ResultsWoman with 43 years old, with a peace of 65 years, who was hospitalized in Psychiatric Service – Eating Disorders, in August 2015, because of its extreme thinness, with difficulty to walk and with severe edema of the feet, ankles and legs. At the entrance, she weighed 29 kg, after 4 days her weight reduced to 23 kg, reaching a BMI of 8.5 kg/m2. In the first week, she showed a high cognitive impairment, confusional state and detailed and ruminative speech about food. She had developed multiple techniques to hide food and to hide and take dietary supplements for weight loss. Furthermore, she had a bizarre behavior and marked social isolation, not interacting with other patients.ConclusionAlthough the low prevalence of EDs, these have a high morbidity, and are one of the psychiatric disorders that most often leads to a fatal outcome. Treatment is lengthy and cumbersome, requiring serious investments under the personal point of view, family and clinical, yet still, these patients can have a full life and quality.Disclosure of interestThe authors have not supplied their declaration of competing interest.
40
Hunter, Rachael, and Chloe Gibson. "Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa." Appetite 166 (November 2021): 105451. http://dx.doi.org/10.1016/j.appet.2021.105451.
Full text
41
O'connor, Art, and Eric Johnson-Sabine. "Hunger Strikers." Medicine, Science and the Law 28, no. 1 (January 1988): 62–64. http://dx.doi.org/10.1177/002580248802800115.
Full textAbstract:
Hunger striking has been recognized as a form of political protest for many years but surprisingly little published work on hunger strikers (H.S.) exists in medical literature. We present twelve cases of H.S. They were identified from a female remand prison (7), a Special Hospital (4) and a psychiatric hospital (1). Seven of the twelve were psychotic and these were more likely to refuse drink as well as food. In four cases the motivation was concerned with protest against personal injustice. These were the four longest H.S. The possible associations between H.S. and anorexia nervosa is discussed.
42
Taub, Diane E., and Rose Ann Benson. "Weight Concerns, Weight Control Techniques, and Eating Disorders among Adolescent Competitive Swimmers: The Effect of Gender." Sociology of Sport Journal 9, no. 1 (March 1992): 76–86. http://dx.doi.org/10.1123/ssj.9.1.76.
Full textAbstract:
Since most research on eating disorders among athletes has focused on college-age samples, the present investigation examines the adolescent competitive swimmer. Three areas related to weight and eating habits were explored: general concerns about weight, use of weight control techniques, and tendencies toward anorexia nervosa and bulimia nervosa and associated behavioral/personal characteristics. Previous research has found females to be at greater risk than males, thus gender comparisons were undertaken. Questionnaires were completed by 85 adolescent competitive swimmers attending a nationally known summer swim camp at a large midwestern university. Consistent with the cultural norm of thinness for women, young female swimmers desired weight loss more than their male counterparts did. In terms of actual pathogenic weight control techniques or eating disorder tendencies, however, few significant gender differences were found. Neither male nor female adolescent swimmers were particularly susceptible to eating disorders or pathogenic weight control techniques.
43
Comerci, George D. "Eating Disorders in Adolescents." Pediatrics In Review 10, no. 2 (August 1, 1988): 37–47. http://dx.doi.org/10.1542/pir.10.2.37.
Full textAbstract:
Anorexia nervosa and bulimia nervosa must be understood and appreciated to be chronic disorders. Too often pediatricians and other health care providers expect that the patient with an eating disorder will be quickly cured. We anticipate and readily accept patient relapses in other chronic conditions such as diabetes, cystic fibrosis, or rheumatoid arthritis, but we do not expect, nor do we tolerate, relapses in patients with eating disorders! Rather, we perceive the relapse as a treatment failure, often blaming ourselves and our lack of knowledge and skills, our treatment team, and, of course, the patient and his or her family. During medical school and residency training there are few good role models for the care of chronically ill patients. We have not learned to enjoy caring for people who do not rapidly improve and recover, especially when the illness is their "personal choice." Little wonder that so many pediatricians reject the responsibility to care for patients with an eating disorder and elect to refer them to others.
44
Hay, Phillipa J., and Kenneth Cho. "A Qualitative Exploration of Influences on the Process of Recovery from Personal Written Accounts of People with Anorexia Nervosa." Women & Health 53, no. 7 (October 1, 2013): 730–40. http://dx.doi.org/10.1080/03630242.2013.821694.
Full text
45
Patiño-Lakatos, Gabriela, Hugues Genevois, Benoît Navarret, Irema Barbosa-Magalhaes, Cristina Lindenmeyer, Maurice Corcos, and Aurélie Letranchant. "Music, Vibrotactile Mediation and Bodily Sensations in Anorexia Nervosa: "It's Like I can Really Feel My Heart Beating"." Human Technology 16, no. 3 (November 30, 2020): 372–405. http://dx.doi.org/10.17011/ht/urn.202011256769.
Full textAbstract:
This article presents the theoretical, scientific, and methodological foundations for the design and implementation of an innovative technological and clinical platform that combined sound, music, and vibrotactile mediation used in a therapeutic setting by adolescents suffering from anorexia nervosa. In 2019, we carried out a pilot experiment with a group of 8 adolescent patients hospitalized in the Eating Disorders Unit of the Department of Adolescent and Young Adult Psychiatry of the Institut Mutualiste Montsouris in Paris. Within this clinical framework, we aimed to create conditions suitable for patients to reinvest in their “disaffected” bodily zones and internal experiences through reflecting on the sensations, emotions, and ideas generated by the sensory experiences created when sound and musical stimuli are transmitted through vibrations. The findings demonstrate the ways in which adolescent patients made use of the platform’s audiovibrotactile mediating objects to express a personal associative process through speech during their exchanges with clinical psychologists.
46
Ribeiro, A. E., A. P. Martins, S. Timóteo, and I. Brandão. "A portuguese experience of multiple family day treatment." European Psychiatry 26, S2 (March 2011): 729. http://dx.doi.org/10.1016/s0924-9338(11)72434-8.
Full textAbstract:
Families universally agree that Anorexia Nervosa takes over almost every aspect of their lives, becoming the central organizing principle of the family's life.Over the last years focus for family interventions has been the Multiple Family Day Treatment approach (MFDT), which has a strong focus on helping families to maximize their strengths and resources, in order to help their patient member to recover. An important goal of MFDT is to help break the interconnections that have developed between the symptom and family interactions, and help overcome the sense of being unable to move and communicate freely about the problems. When families come together they witness each other, revealing their narratives about developed rules, roles, rituals and myths. The differences in the way that individual families have coped, allows for the possibility to look for alternative ways of managing the problem within the family.The authors describe their first experience with MFDT, which occurred in a Portuguese hospital with 17 families of anorectic patients.The shared experience of what it is like for families to live with anorexia quickly helps to create group cohesion and a supportive atmosphere in which difficulties can be tackled. Hearing how other families have overcome problems helps families to broaden their own time frame and consider trying new things.The MFDT has attracted considerable interest has an innovative and effective treatment, and feedback received from families has been very positive emphasizing in particular the collaborative nature of the treatment.
47
Parker, Renée M., Michael J. Lambert, and Gary M. Burlingame. "Psychological Features of Female Runners Presenting with Pathological Weight Control Behaviors." Journal of Sport and Exercise Psychology 16, no. 2 (June 1994): 119–34. http://dx.doi.org/10.1123/jsep.16.2.119.
Full textAbstract:
The present study was conducted to determine if female distance runners who report engaging in pathological food behaviors display the psychological characteristics of clinically diagnosed female eating-disordered patients. Comparisons were made among 29 eating-disturbed college runners, 31 normal college runners, 19 clinically diagnosed eating-disordered patients, and 34 nonathletic, non-eating-disordered college students. Measures included a 3-day diet journal, questionnaires collecting both personal information and information on eating behaviors and sports participation, the Eating Disorder Inventory (EDI), the Setting Conditions for Anorexia Nervosa Scale (SCANS), and the Minnesota Multiphasic Personality Inventory (MMPI). Without reaching eating-disordered clinical levels, the eating-disturbed runners appeared on psychological inventories as being more concerned with food and dieting than were the comparison runners and non-eating-disordered nonathletes. Only the eating-disordered group presented with significant levels of psychopathology. Implications for the athletic community are discussed.
48
Zeiler, Michael, Tanja Wittek, Leonie Kahlenberg, Eva-Maria Gröbner, Martina Nitsch, Gudrun Wagner, Stefanie Truttmann, Helene Krauss, Karin Waldherr, and Andreas Karwautz. "Impact of COVID-19 Confinement on Adolescent Patients with Anorexia Nervosa: A Qualitative Interview Study Involving Adolescents and Parents." International Journal of Environmental Research and Public Health 18, no. 8 (April 16, 2021): 4251. http://dx.doi.org/10.3390/ijerph18084251.
Full textAbstract:
COVID-19-related restrictions may have a serious impact on patients with eating disorders. We conducted semistructured interviews with female adolescent patients with anorexia nervosa (AN) (n = 13, 13–18 years) currently receiving inpatient or outpatient treatment and their parents (n = 10). We asked for their experiences during COVID-19 confinement regarding everyday life, AN symptoms, and treatment. We used thematic analysis to interpret the data. The main themes identified from the patients’ interviews involved restrictions of personal freedom (i.e., leading to tension between patients and family members, reduced motivation to work on recovery), interruption of the treatment routine (emerging risks through self-monitored weight, challenges/opportunities of teletherapy), changes in AN symptoms (more exposure to triggering situations), COVID-19-related fears, and compulsions but also potential opportunities (less stress, better family relationships). The parents discussed changes in daily routines as negative (challenges in maintaining day structures) and positive (more family time, “slowing down”). They expressed reservations about reduced outpatient monitoring and increased teletherapy and discussed challenges in keeping contact with the child and clinicians during inpatient treatment. Moreover, the parents discussed deteriorations and improvements in the patients’ psychopathology. Clinical implications from these in-depth insights include the importance of strengthening communication between changing staff cohorts, patients, and parents; motivational work; and joint weight monitoring with the therapist.
49
Langlet, Billy Sundström, Dorothy Odegi, Modjtaba Zandian, Jenny Nolstam, Per Södersten, and Cecilia Bergh. "Virtual Reality App for Treating Eating Behavior in Eating Disorders: Development and Usability Study." JMIR Serious Games 9, no. 2 (April 13, 2021): e24998. http://dx.doi.org/10.2196/24998.
Full textAbstract:
Background Anorexia nervosa is one of the more severe eating disorders, which is characterized by reduced food intake, leading to emaciation and psychological maladjustment. Treatment outcomes are often discouraging, with most interventions displaying a recovery rate below 50%, a dropout rate from 20% to 50%, and a high risk of relapse. Patients with anorexia nervosa often display anxiety and aversive behaviors toward food. Virtual reality has been successful in treating vertigo, anxiety disorder, and posttraumatic stress syndrome, and could potentially be used as an aid in treating eating disorders. Objective The aim of this study was to evaluate the feasibility and usability of an immersive virtual reality technology administered through an app for use by patients with eating disorders. Methods Twenty-six participants, including 19 eating disorder clinic personnel and 5 information technology personnel, were recruited through emails and personal invitations. Participants handled virtual food and utensils on an app using immersive virtual reality technology comprising a headset and two hand controllers. In the app, the participants learned about the available actions through a tutorial and they were introduced to a food challenge. The challenge consisted of a meal type (meatballs, potatoes, sauce, and lingonberries) that is typically difficult for patients with anorexia nervosa to eat in real life. Participants were instructed, via visual feedback from the app, to eat at a healthy rate, which is also a challenge for patients. Participants rated the feasibility and usability of the app by responding to the mHealth Evidence Reporting and Assessment checklist, the 10-item System Usability Scale, and the 20-point heuristic evaluation questionnaire. A cognitive walkthrough was performed using video recordings of participant interactions in the virtual environment. Results The mean age of participants was 37.9 (SD 9.7) years. Half of the participants had previous experience with virtual reality. Answers to the mHealth Evidence Reporting and Assessment checklist suggested that implementation of the app would face minor infrastructural, technological, interoperability, financial, and adoption problems. There was some disagreement on intervention delivery, specifically regarding frequency of use; however, most of the participants agreed that the app should be used at least once per week. The app received a mean score of 73.4 (range 55-90), earning an overall “good” rating. The mean score of single items of the heuristic evaluation questionnaire was 3.6 out of 5. The lowest score (2.6) was given to the “accuracy” item. During the cognitive walkthrough, 32% of the participants displayed difficulty in understanding what to do at the initial selection screen. However, after passing the selection screen, all participants understood how to progress through the tasks. Conclusions Participants found the app to be usable and eating disorder personnel were positive regarding its fit with current treatment methods. Along with the food item challenges in the current app, participants considered that the app requires improvement to offer environmental and social (eg, crowded room vs eating alone) challenges.
50
Sak, Lesia V., Olena O. Khaustova, Olga M. Avramenko, and Ioanna V. Papathanasiou. "DEVELOPMENT OF ANOREXIA NERVOSA IN A FEMALE ADOLESCENT IN A DYSFUNCTIONAL FAMILY ENVIRONMENT WITH IMPAIRED ATTACHMENT AND EMOTIONAL REGULATION: A CASE REPORT." Wiadomości Lekarskie 75, no. 8 (2022): 1932–37. http://dx.doi.org/10.36740/wlek202208120.
Full textAbstract:
A 17-year-old female patient was admitted to the psychoneurological department of Kyiv Clinical Railway Hospital No. 1, due to deterioration of her mental state, a significant decrease in body weight, and no effect of outpatient treatment. The complex treatment program, directed on the correction of all multidimensional disorders with the preliminary psychodiagnostics examination of the patient and her parents according to the FACES-III, DERS, which were monitored in dynamics during the 3,6,9 and 12 months of treatment, was applied. The patient’s parents were additionally assessed by TAS, HADS, and the CQLS. We noted that the functioning of the family as a whole influenced the emotional regulation of each of its members; in turn, the emotional regulation of the parents had a direct influence on the patient’s emotional regulation, and the patient’s emotional regulation influenced changes body weight. The patient’s personal psychotherapy and ABFT allowed us to decrease the gap in the attachment relationship between parents and patient and create a safe emotional base for reducing the stress of the relationship with parents at home, which was confirmed by positive dynamics of FACES-III, decrease in difficulties of emotional regulation on DERS and restoration of the patient’s normal weight.